African American Museum of the Arts - Membership Application

Please print out this completed form and return it to us with your Membership Dues.
AAMA - PO Box 1319, DeLand FL, 32721-1319

Membership benefits include newsletters and invitations to exhibitions, receptions and special events. Life-time members will also be recognized on printed material.

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Name: ________________________________________________

Address: _____________________________________________

City: ____________________ State: ______ Zip: ________

Phone (___) ____________________________

Email: _________________________________

Date: __________ Signature: ______________________________________


Please select a Membership Package

____ $500 Life Membership

____ $250 Corporate Membership

____ $100 Supporter

____ $50 Family

____ $20 General Membership

____ $10 Student (age 6 – 18)